Active NPI
Az Sookster LLC
- Developmentally Disabled Services Day Training Agency
- Glendale, AZ
National Provider Identifier
1508331398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- AZ SOOKSTER LLC
- Practice address
- 7800 N 59TH Ave
Glendale, AZ 85301-7861 - Phone
- (509) 205-5571
- NPI assigned
- Oct 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Insook Lee Landon, RN
- Title
- Owner
- Phone
- (509) 205-5571
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
7800 N 59TH Ave
Glendale, AZ 85301-7861
Mailing address
PO Box 14814
Scottsdale, AZ 85267-4814
Other names 1
- Choices In Community Housing
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538956800000",
"number": "1508331398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14814",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852674814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017861",
"telephone_number": "509-205-5571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ SOOKSTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A",
"authorized_official_last_name": "LANDON",
"authorized_official_first_name": "INSOOK",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-205-5571",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Choices In Community Housing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.